Brazil has the 9th largest economy in the world, with a GDP of USD 1.86 trillion, of which USD 160 billion represents the health sector. The Brazilian government operates one of the largest universal health care systems to date, providing free services to over 210 million people through the Sistema Único de Saúde (SUS). It also has the world’s second-largest private health sector, which includes some of the world’s best-performing hospital groups.

Furthermore, Brazil is the leading medical device market in Latin America and the second-largest pharmaceutical market in the world. The Brazilian economy, however, is also hit by a recession and, more recently, the COVID-19 pandemic. As health demands are growing and resources in the public sector become scarcer, Brazil’s health system is transforming to become future-proof. This transformation leads to opportunities for Dutch healthcare solutions in areas such as health information management systems, telemedicine and high-tech equipment for which Brazil depends on imports. The large industries and excellent science, technology and innovation climate in Brazil also provide opportunities for the Dutch sector related to STI cooperation and investments.

Key indicators

From the perspective of the Netherlands, the following market trends (more information, see below) in Brazil are of interest:


Brazil’s major transformations in its health sector provide numerous trade opportunities for the Dutch LSH sector:

  1. Public Health
  2. Digital transformation of the health system
  3. Ageing Society
  4. Hospital Design and Construction

Specific regional priorities

State of Minas Gerais (NBSO Belo Horizonte)
Minas Gerais hosts the first industrial airport in Brazil, having LSH as one of its priority areas. Companies will have several benefits and tax advantages to produce goods for export in Latin American market. Also, in the Airport region, a Medical City is being built to concentrate all the components that make up the “Health Productive Chain of the XXI Century”

Southern Brazil (NBSO Porto Alegre)
There are three Innovation Centres in South Brazil: health-tech ecosystem and brain research   institute   at Biohub PUCRS;   the    Atrion    collaboration    incubator    at Hospital Moinhos de Vento HMV, 2nd best hospital in Brazil in 2021. The office subscribed a support letter with HMV for further collaboration with Dutch companies and institutions. University Medical Center Groningen signed an international partnership with the universities PUCRS and UFRGS.

Science, Technology and Innovation diplomacy
Since the Brazilian and Dutch government signed a MoU on STI cooperation in 2011, many bilateral (bottom-up) contacts have been established and consortia built for calls for proposals. These include highly knowledge intensive companies, universities, Dutch university medical hospitals, tech institutes and government- related organisations. Priority areas for NL-BR collaboration include healthy ageing, digitalisation of health system, use of big data, artificial intelligence, medtech, FAIR data, advanced materials, diagnostics (kits), lifestyle & prevention (research and applications), infectious diseases, community & home care, gamification, bioinformatics, personalised and precision care. The follow-up G2G Programme of Cooperation on STI 2020-2023, signed at the end of 2019 in Brazil, also includes LSH as one of the priority areas and involvement of the Brazilian Ministry of Health in future activities.

Overview of Dutch interest in Brazil per organisation type (based on international research, Achilles): 
During a survey by the Dutch LSH alliance in 2019, 63 unique organisations with activity and/or interest in Brazil   were   identified   (total of 81   respondents). The   majority of organisations with activity or interest in Brazil include digital health companies (19), followed by healthcare equipment companies (18), public health & knowledge (10) and hospital construction (8).

In 2018-2019, Achilles registered 160 requests from LSH companies who actively looked for support from the Dutch government with doing business in Brazil.

Most prominent NL value chains

1. Value chain Digital Health: Currently 19 known active organisations.

  • potential opportunities: The Brazilian Ministry of Health has prioritised digital transformation through DATASUS and the public and private sector are investing in HIMMS, EMRs and interoperability between hospitals. Furthermore, multiple, large-scale telemedicine initiatives have been deployed and are developing further. Lastly, Brazil needs human capital to implement and manage its growing electronic health infrastructure.
  • barriers: Dutch companies encounter difficulties in managing their business in Brazil due to the distance, language barriers and long development time of projects. Due to the pandemic, many Dutch Digital Health-solutions are focusing more on the European market.

2.    Value chain Healthcare Equipment and supplies: Currently 18 known active organisations.

  • potential opportunities: Brazil is the leading medical device market in Latin America and houses a huge market. It is mainly private providers who seek to remain competitive and who are investing in their technology. 
  • barriers: Regulatory affairs in Brazil are perceived as stricter compared to other Latin American countries. Many Dutch organisations experience Brazil’s ANVISA as bureaucratic and time-consuming. Furthermore, Brazil’s large developed LSH industry makes for a competitive local market. Dutch red ocean products therefore experience lower success rates on the Brazilian market. Solutions in higher price ranges might experience difficulty when entering Brazil’s public sector market.

3.    Value chain Public Health: Currently 10 known active organisations

  • potential opportunities: Training & education of Brazil’s workforce. Implementation of new models in nursing and long-term care, for example. 
  • barriers: One of the biggest barriers encountered by Dutch organisations is related to difficulties in turning leads into projects. If the benefits of implementing new technologies and models are not apparent to Brazilian stakeholders, then they do not tend to see these as a priority.

4. Value chain Hospital Design & Construction: Currently 8 known active organisations 

  • potential opportunities: Brazil’s large health infrastructure requires continuous upgrades. Therefore the private hospitals, in particular, attract many modular hospital builders.
  • barriers: Participation in tenders in the public sector.

Overview milestones & flagships

  • G2G (MoU STI, state and governmental visits)
  • Trade (PIBs, market studies)
  • Science, Technology & Innovation (G2G MoU on STI 2011, G2G Programme of Cooperation STI 2020-2023, including LSH, joint R&D projects, 2011-2021 bilateral collaboration agreements, calls for proposals NL-BR)
  • Invest (significant investments in the Dutch LSH sector)

Collective Trade and STI activities


  • Factfinding mission Task Force Health Care (TFHC) to Brazil (IA Brazil), including a roundtable discussion with Brazilian health leaders


  • Mission (lead by IA Brazil and NFIA) of Brazilian health leaders to the Netherlands
  • Dutch Research Council (NWO)-FAPESP call for proposal ‘Data-driven research on Sports & healthy living’; 3 joint NL-BR projects


  • Dutch high-level participation at AMR conference EU- South America in Brazil
  • Dutch speakers at HiMSS@Hospitalar/Healthcare Information and Management Systems Society (e.g. health/ lifestyle applications, gamification, bioinformatics, personalised and precision care, healthy ageing)
  • Economic Mission leads by Ministry of Health, Welfare and Sport (VWS) and Innovation Attache (IA), including the Netherlands as host country at Hospitalar, NL pavilion, publications, matchmaking, etc.


  • Brazilian high-level delegation World of Health Care Netherlands
  • Dutch speakers at HiMSS@Hospitalar/Healthcare Information and Management Systems Society (e.g. health/ lifestyle applications, gamification, bioinformatics, personalised and precision care, healthy ageing)
  • Visit of health care delegation from Rio Grande do Sul to University of Twente
  • Publication IoT and Networking Technology in Brazil, opportunities in Health (IA Brazil)
  • Innovation visit of State Secretary, Mona Keijzer, Ministry of Economic Affairs and Climate Policy (EZK) to São Paulo; meeting with, among others, board of the Einstein hospital


  • Netherlands Enterprise Agency (RVO) TFHC Market Study LSH
  • Seminar in which opportunities, identified in the Market Study, were presented
  • Brazilian high-level delegation World of Health Care Netherlands
  • Dutch speakers at HiMSS@Hospitalar/Healthcare Information and Management Systems Society (e.g. health/ lifestyle applications, gamification, bioinformatics, personalised and precision care, healthy ageing)
  • Pitches Dutch high-tech companies at Einstein private hospital
  • Netherlands Round Table with Dutch speakers at CISS/Congress of health services
  • Matchmaking event organised at Hospitalar by Netherlands Business Support Office Porto Alegre with companies from Rio Grande do Sul
  • NWO-FAPESP joint Call for Proposals’ Healthy Ageing’; 4 joint NL-BR projects
  • Innovation mission Big data in Health lead by IA, EZK and RVO: São Paulo, Porto Alegre and Rio de Janeiro
  • Dutch pavilion at CONAHP, with Dutch keynote speaker Ernst Kuipers, Erasmus MC
  • Signing of G2G Programme of Cooperation on STI 2020-2023, including LSH. Partners: the Brazilian Ministry of Science, Technology and Innovation and the Dutch Ministry of EZK and Ministry of Education, Culture and Science (OCW).


  • Brazilian high-level delegation (digital) World of Health Care Netherlands
  • NBSO Market Study Minas Gerais
  • Buurtzorg signs      strategic      collaboration      agreement      with      Brazilian organisation Laços Saúde
  • IA Brazil policy Intelligence   for   Dutch   Ministries   related   to   the COVID- 19 pandemic and Economic & Knowledge Security
  • Partnership Spectator and Elsevier on Telehealth solutions in Brazil


  • IA Brazil policy Intelligence   for   Dutch   Ministries   related   to   the COVID- 19 pandemic and Economic and Knowledge Security
  • IA Brazil ‘Artificial Intelligence in Health special Brazil
  • Cooperation between NBSO Porto Alegre and Hospital Moinhos de Vento
  • LATAM Business Dialogue
  • H~H Digital Meet-up

The way forward

Brazil is a market which in the past showed a high attraction on the Dutch LSH sector due to its size and interesting developments. After some large-scale activities, a selection of Dutch organisations with strong propositions continues to grow their activity on the market while a group of more explorative companies shows a decreasing interest due to barriers posed in the Brazilian market.

From the innovation perspective, Brazil continues to be a priority country for NWO, leading to a high potential for international collaborations. Due to the economic recession and subsequent pandemic in Brazil, many Dutch organisations were disconnected from the Brazilian market. Therefore, the public-private partnership to grow the mutual value between the Brazilian and Dutch LSH-market aims to continue support to successful Dutch organisations on    the    Brazilian     market     and     rekindle     interest     from Dutch organisations to explore the Brazilian market post the COVID-19 pandemic. The following activities will therefore be organised:

Inform Dutch LSH sector on market opportunities in Brazil:

  • Marketing & Communication: showcasing Dutch-Brazilian success stories through articles, videos and by inviting Dutch companies at events so they can share success stories
  • Cooperation with health care cluster in the southern state of Rio Grande do Sul
  • NBSO Americas Dialogue webinar about LSH opportunities to Dutch companies, including matchmaking

Intensive guidance/soft-landing of individual organisations in the Brazilian market:

  • Ad hoc guidance
  • Reactive support
  • Ad hoc assistance to interested Dutch organisations
  • Pro-active matching of Dutch companies with business partners
  • Positioning individual companies at congresses

Collective support: if a group of organisations emerges, we will look to explore larger-scale activities:

  • Collective activities
  • Explore thematic dialogues


  • Economic Mission in 2022 (whole value chain)
  • Follow-up Innovation Mission Big Data in Health 2019 (leading to mission to the Netherlands)
  • Call for Proposals NWO-FAPESP Advanced Materials in Health 2022
  • Continued   assistance    of    bilateral    contacts, e.g. in    the    area    of healthy ageing, such as PPS VOILÀ

Brazil | Market Study 2019


IA-netwerk Brazilië


Market Study: Life Sciences and Health in Minas Gerais, Brazil


Identification of business opportunities for small and medium-sized Dutch companies in Minas Gerais